National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Am J Prev Med. 2020 Apr;58(4):570-579. doi: 10.1016/j.amepre.2019.11.020. Epub 2020 Feb 4.
This study assesses associations between past-12-month sexual violence victimization and recent health risk behaviors using a nationally representative sample of male and female high school students. It is hypothesized that sexual violence victimization will be associated with most of the negative health behaviors for both sexes.
Data from the 2017 National Youth Risk Behavior Survey, a school-based cross-sectional survey of students in Grades 9-12, were used to assess associations between sexual violence victimization and 29 health risk behaviors in sex-stratified logistic regression models. Effect modification was also examined through sex X sexual violence victimization interactions within unstratified models. All models controlled for race/ethnicity, grade, and sexual identity. Data were analyzed in 2018.
Students who experienced sexual violence victimization were significantly more likely to report many health risk behaviors and experiences, such as substance use, injury, negative sexual health behaviors, feelings of sadness or hopelessness, suicidality, poor academic performance, and cognitive difficulties, and these associations were often stronger among male students (significant adjusted prevalence ratios ranged from 1.63 to 14.40 for male and 1.24 to 6.67 for female students).
Past-year sexual violence victimization was significantly related to various health risk behaviors, suggesting that efforts to prevent sexual violence may also be associated with decreases in poor health. Integrating violence, substance use, sexual, and other health risk prevention efforts is warranted.
本研究使用全国代表性的男女高中生样本，评估了过去 12 个月性暴力受害与近期健康风险行为之间的关联。假设性暴力受害与大多数男女的负面健康行为有关。
使用 2017 年全国青年风险行为调查的数据，这是一项针对 9-12 年级学生的基于学校的横断面调查，用于评估性暴力受害与 29 种健康风险行为之间的关联，在不分层模型中通过性别 X 性暴力受害相互作用检验效应修饰。所有模型均控制了种族/民族、年级和性身份。数据分析于 2018 年进行。
经历过性暴力受害的学生更有可能报告许多健康风险行为和经历，如药物使用、伤害、负面的性健康行为、悲伤或绝望感、自杀意念、学业成绩不佳和认知困难，这些关联在男生中更为明显（调整后的阳性患病率比范围从 1.63 到 14.40 不等，男生和 1.24 到 6.67 不等，女生）。
过去一年的性暴力受害与各种健康风险行为显著相关，这表明预防性暴力的努力也可能与不良健康状况的减少有关。整合暴力、药物使用、性和其他健康风险预防工作是必要的。
